Super Avana
✅ Forbedrer erektil funktion
✅ Støtter seksuel præstation
✅ Fremmer stærkere erektioner
✅ Generic for Stendra ® & Priligy ®
Super Avana contains Avanafil & Dapoxetine
✓ Medicinsk gennemgået af Morgan Ellis — Apoteksforsker · 8 års erfaring · Sidst gennemgået: maj 2026
⚡ Quick Answer — What is Super Avana?
Super Avana indeholder avanafil 100 mg + dapoxetine 60 mg and is used for erectile dysfunction with premature ejaculation. Available in 100+60 mg (packs of 4 / 20 / 40 / 60 / 120 tablets). Klinisk virkning varer omkring 4–6 hours for ED; 3–5 hours for PE. Manufactured by Sunrise Remedies.
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Hvorfor bestille fra MedsBase
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Super Avana er en dual-action tablet combining avanafil 100 mg (the fastest-onset PDE5 inhibitor currently on the market) and dapoxetine 60 mg (a short-acting SSRI for premature ejaculation). It is designed for men with co-existing ED and PE who want the quickest possible onset and the cleanest side-effect profile of the PDE5 class.
Manufactured by Sunrise Remedies, Super Avana offers the convenience of one tablet instead of two, with fixed-ratio dosing and the most selective PDE5 molecule available.
What Is Super Avana?
Super Avana contains two active ingredients that target distinct components of the male sexual response:
- Avanafil 100 mg — the newest-generation PDE5 inhibitor with the fastest onset (effects within 15 minutes), the highest PDE5 selectivity, and the cleanest side-effect profile (lower headache, flushing, and visual-disturbance rates than sildenafil or vardenafil)
- Dapoxetine 60 mg — a short-acting SSRI that extends intravaginal ejaculatory latency time (IELT) by 2–3× in men with PE
The 100 mg avanafil dose is the maximum clinical strength — used when 100 mg has proven insufficient.
How Does Super Avana Work?
The two drugs act on separate, complementary pathways:
- Avanafil selectively blocks PDE5 in penile smooth muscle, prolonging cyclic GMP activity and enabling a sustained erection in response to sexual stimulation. Its high PDE5 selectivity (PDE6/PDE11 sparing) means fewer visual disturbances and less dyspepsia than older PDE5 inhibitors
- Dapoxetine inhibits the serotonin transporter centrally, delaying the ejaculatory reflex by about 2–3× the baseline IELT
Onset is remarkably fast — avanafil begins working in as little as 15 minutes, and dapoxetine peaks around 60 minutes. Taking the tablet 30–60 minutes before intended activity aligns both windows.
— det forstærker den normale fysiologiske respons snarere end at udløse en kunstigt.
- Combined ED and premature ejaculation — primary indication
- Men wanting the fastest possible PDE5 onset — avanafil’s 15-minute onset is unmatched
- Men who experienced side effects on sildenafil or vardenafil — avanafil’s cleaner profile often resolves headache, flushing, and visual-disturbance complaints
- Men on multiple medications — avanafil has fewer CYP-mediated interactions than older PDE5 inhibitors
Super Avana Dosage and Administration
| Scenario | Anbefalet Dosis | Hyppighed / Timing |
|---|---|---|
| ED + PE — standard | 1 tablet (avanafil 100 mg + dapoxetine 60 mg) | 30–60 minutes before intercourse; max 1 tablet / 24 h |
| First-time use | Start with lower-strength single components if possible | 100 mg avanafil is the maximum dose — consider titrating up |
| Dose-sensitive / elderly | Separate lower-strength components | Titrate under medical guidance |
| Mild hepatic impairment | Reduced dose, with caution | Both components cleared hepatically |
| Moderate–severe hepatic impairment | Kontraindiceret | Dapoxetine component unsafe |
| Severe renal impairment | Not recommended | Insufficient data |
| Age >64 | Not recommended | Dapoxetine safety unproven in this population |
| Maksimal daglig dosis | 1 tablet per 24 hours | Do not stack with other PDE5 or SSRI |
How to Take Super Avana Properly
- Swallow whole with a full glass of water — reduces syncope risk from dapoxetine
- Take 30–60 minutes before intended activity — avanafil’s fast onset gives flexibility
- Avanafil is less affected by food than sildenafil or vardenafil, but a very heavy fatty meal can still slow onset
- Do not take more than one tablet per 24 hours
- Avoid alcohol — amplifies dapoxetine-related dizziness and orthostatic hypotension
- Do not combine with additional PDE5 inhibitors or SSRIs
Side Effects of Super Avana
| Component / Severity | Bivirkning |
|---|---|
| Avanafil — common | Headache, flushing, nasal congestion, back pain (generally milder than sildenafil/vardenafil) |
| Dapoxetine — common | Nausea, dizziness, headache, dry mouth, fatigue, insomnia |
| Combined — uncommon | Syncope, orthostatic hypotension, palpitations |
| Meget sjælden | Priapism, NAION, sudden hearing loss, serotonin syndrome (with other serotonergic drugs) |
Why avanafil’s side-effect profile is notable: avanafil is the most PDE5-selective molecule in the class — it spares PDE6 (retinal) and PDE11 (skeletal muscle) significantly better than sildenafil/vardenafil, which translates to fewer visual disturbances and less back/muscle pain.
Advarsler og forholdsregler
- Kardiovaskulær fitness til sex — seksuel aktivitet stiller krav til hjertet. Mænd med aktiv angina pectoris, nyligt hjerteanfald (inden for 90 dage), ukontrolleret arytmi eller svær hjerteinsufficiens bør have en hjerteundersøgelse, før de starter på en PDE5-hæmmer
- Blodtryk — PDE5-hæmmere forårsager milde, midlertidige reduktioner i blodtrykket; brug med forsigtighed, hvis du tager flere antihypertensiva
- Priapisme — højere risiko hos mænd med seglcelleanæmi, multipelt myelom eller leukæmi; søg akut behandling, hvis en erektion varer mere end 4 timer
- Syn — stop og søg lægehjælp, hvis der opstår pludselige synsændringer; sjældne tilfælde af non-arteritisk anterior iskæmisk opticusneuropati (NAION) er blevet rapporteret
- Hørelse — sjældne rapporter om pludselig sensorineural høretab — stop og konsulter en læge, hvis du er berørt
- Alkohol — betydeligt alkoholindtag kombineret med enhver PDE5-hæmmer kan forværre svimmelhed, hovedpine og lavt blodtryk
- Grapefrugtjuice — hæmmer CYP3A4 og kan øge blodniveauer
Kontraindikationer — Hvem Bør IKKE Tage Denne Medicin
- Samtidig brug af nitrat — GTN, isosorbidmono/dinitrat, nicorandil, amylnitrit (“poppers”)
- Samtidig brug af guanylatcyklase-stimulatorer såsom riociguat
- Nyligt hjerteanfald (inden for 90 dage), ustabil angina pectoris eller angina under samleje
- NYHA klasse II eller højere hjerteinsufficiens inden for de sidste 6 måneder
- Ukontrolleret arytmi, hypotension (blodtryk 170/100)
- Apopleksi inden for de sidste 6 måneder
- Kendt ikke-arteritisk anterior iskæmisk opticusneuropati (NAION) i et eller begge øjne
- Svær leversvigt (Child-Pugh C)
- Overfølsomhed over for det aktive stof eller et hjælpestof
Lægemiddelinteraktioner
| Lægemiddel/klasse | Interaktion |
|---|---|
| Nitrater (GTN, ISMN, ISDN, amylnitrit/”poppers”) | Absolut kontraindikation — alvorlig, potentielt fatal hypotension |
| Alfablokkere (doxazosin, tamsulosin, alfuzosin) | Additiv blodtrykssænkende effekt — stabiliser alfablokker-dosis først, start med laveste PDE5-dosis |
| CYP3A4-hæmmere (ketoconazol, itraconazol, ritonavir, clarithromycin) | Forhøjer PDE5-plasmakoncentrationen — reducer dosis eller undgå kombination |
| CYP3A4-inducere (rifampicin, phenytoin, carbamazepin, perikon) | Lavere PDE5-plasmakoncentration — effektiviteten kan være nedsat |
| Riociguat og andre sGC-stimulatorer | Kontraindiceret — risiko for alvorlig hypotension |
| Andre PDE5-hæmmere | Kombiner ikke — additiv bivirkning uden ekstra effektivitet |
| Antihypertensiva | Mindre additivt blodtryksfald — normalt klinisk insignifikant |
| Grapefrugtjuice | Hæmmer CYP3A4 — undgå stor eller regelmæssig indtagelse |
Del altid en fuld liste over dine nuværende medicin, inklusive håndkøbsprodukter, rekreative stoffer og kosttilskud, med din læge før påbegyndelse af denne medicin.
Hvad man skal gøre ved overdosering
Symptomer på en PDE5-overdosis inkluderer stærk hovedpine, markant hypotension, svimmelhed, rygsmerter eller muskelsmerter og vedvarende erektion. Behandlingen er støttende med væsketerapi og hjerteovervågning. Kontakt din lokale giftinformation eller skadestue omgående, hvis en overdosering mistænkes.
Opbevaringsvejledning
- Opbevar under 30 °C på et tørt sted, væk fra direkte sollys
- Opbevares i den originale blisterpakning indtil brug
- Opbevares utilgængeligt for børn og kæledyr
- Brug ikke efter den udløbsdato, der er trykt på pakken
- Bortskaffelse af ubrugte tabletter via en apoteks tilbageleveringsordning, hvor tilgængelig
Relaterede alternativer på MedsBase
Leder du efter relaterede behandlingsmuligheder for ED eller seksuel sundhed?
- Modula — tadalafil 5 mg, ideel til én gang daglig lavdosis terapi
- Vidalista — Centurion Labs tadalafil, 2,5 til 80 mg
- Tadacip — Cipla tadalafil 20 mg
- Megalis — Macleods tadalafil 10 mg / 20 mg
- Suhagra — Cipla sildenafil 25/50/100 mg
- Se alle behandlinger mod erektil dysfunktion →
Ofte stillede spørgsmål
Who should take Super Avana?
Men with both erectile dysfunction and premature ejaculation who want the fastest-onset PDE5 option available, or who had intolerable side effects (headache, flushing, visual changes) on sildenafil- or vardenafil-based combinations.
How fast does Super Avana work?
Avanafil can begin working in as little as 15 minutes — the fastest onset of any PDE5 inhibitor. Dapoxetine peaks around 60 minutes. Plan 30–60 minutes before intended activity for best alignment.
How long does Super Avana last?
The ED window (avanafil) is about 4–6 hours; the PE-delay window (dapoxetine) is 3–5 hours. These overlap well for a typical single sexual encounter.
Super Avana vs Super Tadalis Sx — which is better?
Both combine an ED drug with dapoxetine. Super Avana (avanafil-based) offers the fastest onset and cleanest side-effect profile in a 4–6 hour window. Super Tadalis Sx (tadalafil-based) offers a much longer 36-hour ED window. Choose on the basis of timing: brief single encounter (this product) vs whole-weekend cover (tadalafil combo).
Can I drink alcohol with Super Avana?
Avoid alcohol. The dapoxetine component causes dizziness and fainting that alcohol significantly amplifies. Avanafil itself has milder interaction with alcohol than sildenafil, but the dapoxetine side is the limiting factor.
Does Super Avana have fewer side effects than sildenafil-based combinations?
Yes, typically. Avanafil’s high PDE5 selectivity means less headache, flushing, dyspepsia, and visual disturbance than sildenafil or vardenafil. The dapoxetine-side effects (nausea, dizziness) are the same as other dapoxetine combinations.
Is Super Avana safe if I have heart disease?
Contraindicated with nitrates, within 90 days of MI, or in unstable angina/severe heart failure. Cardiac assessment is recommended before starting any PDE5-containing medication. Avanafil has a slightly more favourable cardiac profile than older PDE5s but the same contraindications apply.
What if I only have PE (not ED)?
Use pure dapoxetine — Poxet. You don’t need the PDE5 component and adding it unnecessarily increases side-effect burden.
What if I only have ED (not PE)?
Use pure avanafil — Avana. Same fast-onset advantage without the dapoxetine-side effects.
Can I take Super Avana every day?
No — on-demand only. Max 1 tablet per 24 hours.
Are there age limits?
Not recommended above age 64 due to dapoxetine safety data limitations.
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| Styrke | 100+60 mg |
|---|---|
| Antal | 4 Tablet/s, 20 Tablet/s, 40 Tablet/s, 60 Tablet/s, 120 Tablet/s |
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